MEDICARE: DR. PAUL RICHARD BILLINGS MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		CA

General Provider Information

NPI Number	:	1164389771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL RICHARD BILLINGS MD, PHD

Provider Business Mailing Address
First Line	:	2729 BELROSE AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94705-1405
Country	:	US
Telephone Number	:	510-631-2842
Fax Number	:

Provider Business Practice Location Address
First Line	:	2729 BELROSE AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94705-1405
Country	:	US
Telephone Number	:	510-631-2842
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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